​This domain encompasses the key principles of the registered nurse’s role in health promotion, illness prevention, care provision, supported transfer within health contexts and discharge planning, including establishing appropriate therapeutic and interpersonal relationships to maximize the delivery of safe care to patients, families, the wider community and society.  
 
Patient Centered Care
Provides skilled safe, holistic, culturally competent, person-centered nursing care to patients, families, community and society, in collaboration with the multidisciplinary team irrespective of healthcare settings. 
 
Performance criteria
  • Undertakes a comprehensive , holistic systematic nursing assessment involving the patient, family and other healthcare providers, as appropriate, in order to determine the needs, concerns, problems, issues, and/or diagnosis that serve as a basis for care planning.
  • Maintains and demonstrates clinical competence in all aspects of care provided to patients on specific unit.
  • Administers medications and therapies in a safe, timely and effective manner in accordance with HMC policy.
  • Attends to emergency/crisis situations calmly and effectively.
  • Develops, implements, evaluates, revises and provides input to the patients’ plan of care and provides care according to the plan of care.
  • Defines expected goals and/or outcomes in terms of the individual patient’s needs, concerns, culture and values.
  • Applies best available knowledge from credible sources to support clinical reasoning, decision-making and safe practice.
  • Continuously evaluates the response(s) of patients/groups to nursing and where delegated medical interventions documenting observations accurately in a timely manner and taking appropriate action including reporting abnormal or concerning results.
  • Documents nursing interventions and patient /group responses accurately and in a timely manner.
  • Maintains and promotes customer satisfaction through effective customer service.
Communication and Teamwork
Uses communication skills to ensure that other members of the health care team, the patient and their family are and remain fully informed.
 
Performance Criteria:
  • Initiates, develops and terminates therapeutic relationship with individuals, families and groups through the use of appropriate communication and interpersonal skills.
  • Demonstrates cultural competence across patient groups.
  • Consistently communicates relevant, accurate and comprehensive information in verbal, written and electronic forms in a timely manner to ensure the delivery of safe, competent and ethical care.
  • Works with others to affect change and produce positive outcomes through the sharing of knowledge of the individual and/or the situation.
  • Participates in building consensus or resolving conflict in the context of patient care.
  • Demonstrates the ability to work as a team member by engaging in teamwork and the team-building processes.
  • Works in collaboration with other members of the wider multidisciplinary team across patient pathways.